Browse > Article
http://dx.doi.org/10.4040/jkan.2016.46.6.793

Development of the Developmental Support Competency Scale for Nurses Caring for Preterm Infants  

Kim, Jeong Soon (Department of Nursing, Gwangju Health University)
Shin, Hee Sun (College of Nursing, Dankook University)
Publication Information
Journal of Korean Academy of Nursing / v.46, no.6, 2016 , pp. 793-803 More about this Journal
Abstract
Purpose: Developmental care has been recognized as a very important component for the development and health promotion of preterm infants. However, research on how to assess developmental nursing competency has not been studied as expected. This study was done to develop and evaluate a new scale to measure nursing competency for developmental support of preterm infants. Methods: Concept analysis was done with using the Hybrid model of Schwartz-Barcott and Kim (2000), from which a preliminary new scale (30 items) was developed. To test the validity and reliability of the new scale being developed, data were collected from 122 NICU nurses at 4 hospitals in 3 cities in the Republic of Korea, from December, 2014 to March, 2015. Results: The final version of the Developmental Support Competency Scale for Nurses (DSCS-N) caring for premature infants was a 4-point Likert type scale, consisting of 19 items, and categorized as 6 factors, explaining 62.5% of the total variance. Each of the factors were named as follows; 'environmental support' (4 items), 'parental support' (3 items), 'interaction' (3 items), 'critical thinking' (3 items), 'professional development' (3 items), and 'partnership' (3 items). The Cronbach's ${\alpha}$ coefficient for the scale was .83 and the reliability of the subscales ranged from .60~.76. Conclusion: The psychometric evaluation of the new scale demonstrated an acceptable validity and reliability. Findings indicate that the DSCS-N can be used as the tool to test the effect of educational programs for nurses and contribute to advance developmental care for preterm infants.
Keywords
Premature Infant; Growth & Development; Clinical Competence; Validation Studies;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, Narwal R, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: A systematic analysis and implications. The Lancet. 2012;379(9832):2162-2172. http://dx.doi.org/10.1016/s0140-6736(12)60820-4   DOI
2 Statistics Korea. Connective analysis for birth data of infant death: 2005-2009 [Internet]. Daejeon: Author; 2011 [cited 2016 January 1]. Available from: https://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=248859&pageNo=&rowNum=10&amSeq=&sTarget=&sTxt=0.
3 Han YJ. Infant and maternal mortality survey in 2002-2003. Seoul: Ministry for Health, Welfare and Family Affairs, Korea Institute for Health and Social Affairs, 2004. Report No.: Policy Report 2004-55.
4 Roberts G, Anderson PJ, Davis N, De Luca C, Cheong J, Doyle LW. Developmental coordination disorder in geographic cohorts of 8-year-old children born extremely preterm or extremely low birth weight in the 1990s. Developmental Medicine and Child Neurology. 2011;53(1):55-60. http://dx.doi.org/10.1111/j.1469-8749.2010.03779.x   DOI
5 Browne JV. Developmental care for high-risk newborns: Emerging science, clinical application, and continuity from newborn intensive care unit to community. Clinics in Perinatology. 2011;38(4):719-729. http://dx.doi.org/10.1016/j.clp.2011.08.003   DOI
6 Schwartz-Barcott D, Kim HS. An expansion and elaboration of the hybrid model of concept development. In: Rodgers BL, Knafl KA, editors. Concept development in nursing: Foundations, technqiues, and applications. 2nd ed. Philadelphia, CA: W.B. Saunders; 2000. p. 129-159.
7 Lee EO, Lim NY, Park HA, Lee IS, Kim JI, Bae J, et al. Nursing research and statistics. Paju: Soomoonsa; 2009. p. 1-789.
8 Son HM, Koh MH, Kim CM, Moon JH. The clinical experiences of adaptation as a new nursing staff. Journal of Korean Academy of Nursing. 2001;31(6):988-997.   DOI
9 Dilorio CK. Measurement in health behavior: Methods for research and education. San Francisco, CA: Jossey-Bass; 2005. p. 1-306.
10 Coughlin M, Gibbins S, Hoath S. Core measures for developmentally supportive care in neonatal intensive care units: Theory, precedence and practice. Journal of Advanced Nursing. 2009;65(10): 2239-2248. http://dx.doi.org/10.1111/j.1365-2648.2009.05052.x   DOI
11 Reid T, Freer Y. Developmentally focused nursing care. In: Boxwell G, editor. Neonatal intensive care nursing. 2nd ed. New York, NY: Routledge; 2010. p. 16-39.
12 Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 health survey: Manual and interpretation guide. Boston, MA: New England Medical Center; 1993. p. 1-238.
13 Fayers PM, Machin D. Quality of life: The assessment, analysis and reporting of patient-reported outcomes. 3rd ed. Chichester, UK: Wiley-Blackwell; 2016. p. 1-626.
14 Ware JE Jr., Gandek B. Methods for testing data quality, scaling assumptions, and reliability: The IQOLA project approach. International Quality of Life Assessment. Journal of Clinical Epidemiology. 1998;51(11):945-952. http://dx.doi.org/10.1016/S0895-4356(98)00085-7   DOI
15 Delobel-Ayoub M, Kaminski M, Marret S, Burguet A, Marchand L, N'Guyen S, et al. Behavioral outcome at 3 years of age in very preterm infants: The EPIPAGE study. Pediatrics. 2006;117(6):1996-2005. http://dx.doi.org/10.1542/peds.2005-2310   DOI
16 Ha NS, Choi J. An analysis of nursing competency affecting on job satisfaction and nursing performance among clinical nurses. Journal of Korean Academy of Nursing Administration. 2010;16(3):286-294. http://dx.doi.org/10.11111/jkana.2010.16.3.286   DOI
17 Chang YH, Cho YS, Kwak MJ. A study of factors related nursing competency in nurses. Clinical Nursing Research. 2006;12(1):7-19.
18 Takase M, Teraoka S. Development of the holistic nursing competence scale. Nursing & Health Sciences. 2011;13(4):396-403. http://dx.doi.org/10.1111/j.1442-2018.2011.00631.x   DOI
19 Als H. Toward a synactive theory of development: Promise for the assessment and support of infant individuality. Infant Mental Health Journal. 1982;3(4):229-243. http://dx.doi.org/10.1002/1097-0355(198224)3:4<229::AID-IMHJ2280030405>3.0.CO;2-H   DOI
20 Kim J, Shin H. Concept analysis of developmental care for preterm infants: Hybrid model. Child Health Nursing Research. 2014;20 (4):350-358. http://dx.doi.org/10.4094/chnr.2014.20.4.350   DOI
21 Smith K, Buehler D, Hedlund R, Kosta S, Als H. NIDCAP nursery certification program (NNCP): A guide to preparation, application and implementation of NIDCAP nursery certification. Boston, MA: NIDCAP Federation International; 2011. p.1-23.
22 Laudert S, Liu WF, Blackington S, Perkins B, Martin S, Macmillan-York E, et al. Implementing potentially better practices to support the neurodevelopment of infants in the NICU. Journal of Perinatology. 2007;27(Suppl 2):S75-S93. http://dx.doi.org/10.1038/sj.jp.7211843   DOI
23 Cowan DT, Norman I, Coopamah VP. Competence in nursing practice: A controversial concept-A focused review of literature. Accident and Emergency Nursing. 2007;15(1):20-26. http://dx.doi.org/10.1016/j.aaen.2006.11.002   DOI
24 Campbell B, Mackay G. Continuing competence: An Ontario nursing regulatory program that supports nurses and employers. Nursing Administration Quarterly. 2001;25(2):22-30.   DOI
25 Axley L. Competency: A concept analysis. Nursing Forum. 2008;43(4):214-222. http://dx.doi.org/10.1111/j.1744-6198.2008.00115.x   DOI
26 National Association of Neonatal Nurses. Developmental care selfassessment [Internet]. Chicago, IL: Author; 2008 [cited 2016 June 15]. Available from: http://nann.org/uploads/Education/Dev_Care_Specialist_self-assessment_ test-FINAL_10-19-10.pdf.
27 Toth JC. Development of the basic knowledge assessment tool (BKAT) for the neonatal intensive care unit: The NICU-BKAT3, its uses, and effect on staff nurses. The Journal of Perinatal & Neonatal Nursing. 2007;21(4):342-348. http://dx.doi.org/10.1097/01.JPN.0000299792.31914.5a   DOI
28 Altimier L, Kenner C, Damus K. The wee care neuroprotective NICU program (Wee Care): The effect of a comprehensive developmental care training program on seven neuroprotective core measures for family-centered developmental care of premature neonates. Newborn and Infant Nursing Reviews. 2015;15(1):6-16. http://dx.doi.org/10.1053/j.nainr.2015.01.006   DOI
29 Park KO, Lee YY. Developing a performance appraisal tool for neonatal intensive care unit registered nurses. Journal of Korean Academic Society of Nursing Education. 2011;17(2):267-276. http://dx.doi.org/10.5977/JKASNE.2011.17.2.267   DOI
30 Bang KS, Park JS, Kim JY, Park JY, An HS, Yun BH. Literature review on nursing intervention for premature infants in Korea. Journal of the Korean Society of Maternal and Child Health. 2013; 17(1):49-61.